Thousands of patients to benefit from NHS At Home roll-out
Thousands of patients with cystic fibrosis and dozens recovering from coronavirus are being given devices and apps so that medics can monitor their condition remotely, as part of the NHS drive to give more people connected, supported, personalised care in their own homes.
People with cystic fibrosis (CF) are among those classed as at extreme risk from the coronavirus and have been advised by the Government to follow specific shielding advice.
From this month, NHS England will help CF patients aged six years and over to be given a spirometer to measure their lung capacity, and an app that lets them share this information with their doctor.
Home-based spirometry has been hailed as ‘the most important intervention’ for cystic fibrosis patients by the CF National Network.
NHS England has accelerated the roll-out to help ensure people can stay safe at home during the pandemic, while at the same time ensuring that those whose condition worsens can get the right help fast.
NHS chief executive Sir Simon Stevens recently said:
“For patients and their families living with cystic fibrosis this is a landmark moment, offering people vital health help at home.
“The Covid-19 outbreak has hit every household in the country but for some people with certain conditions, this virus will have been especially unsettling and dangerous, which is why the NHS is looking to make sure those at greatest risk can get safe, tailored care, despite the ongoing pandemic threat.
“As the NHS in England moves from having responded successfully to the first wave of the virus, to helping people to recover and to restoring routine services, it is common sense, convenient and innovative forms of treatment like at-home lung checks that we are making increasingly available to people across the country.”
Professor Andrew Menzies-Gow, NHS England national clinical director for respiratory services recently said:
“The measurement of lung function, which normally occurs in hospitals, is essential to tracking disease progression and deciding changes in treatment.
“Enabling thousands of people with cystic fibrosis across England to provide this information without leaving their home is a vitally important step change in reducing the need for hospital attendances or admissions.”
Dr Janet Allen, director of strategic innovation at the Cystic Fibrosis Trust, recently said:
“The expansion of home spirometry by NHS England and NHS Improvement to 4,000 people with cystic fibrosis across England is great news.
“We’ve been working closely with NHS England and NHS Improvement to ensure more people with CF have this equipment at home during these difficult times, so that clinical teams can continue to make important decisions about their care. It also builds on research we’re running – a study called Project Breathe – to help us understand whether measuring things like lung function, oxygen levels, activity and weight at home can reduce the number of hospital appointments for people with CF.”
At the same time, a separate trial will see some patients with COVID-19 given devices which can help spot any dip in their blood oxygen-levels while they recover at home.
The NHS is trialling the use of oximeters, combined with app-based check-ins with clinicians, which will make it easier to spot whether people need to be re-admitted to hospital.
The new oximeter service is being trialled with more than 150 patients in sites in Watford, Hertfordshire and north London, with the NHS’s digital transformation unit, NHSX, working with British digital health start-up, Huma.
Clinicians in ‘virtual wards’ are able to track patients’ vital signs – including temperature, heart rate and blood oxygen saturation – in near real-time, receiving alerts if they suggest a patient is deteriorating so that further assessments and care can be arranged.
The service has since been extended to additional sites in West London, with plans for further pilots in other areas of the country including higher-risk patients who have recently tested positive for COVID-19.
If the trials show the model to be safe and beneficial for patients, they could help to inform a national rollout ahead of the coming winter.
Tara Donnelly, chief digital officer, NHSX recently said:
“This is a great example of how new technology is supporting healthcare professionals to provide the right care at the right time. With COVID-19, it’s vital that we make use of digital tools that can help support patients who don’t need immediate hospital care and allow close monitoring of their condition.
“The feedback we are getting from patients is that the remote monitoring with clinical oversight is really reassuring to them, and they are grateful to be at home while they recover, rather than in a hospital bed. The clinical team is finding it helps give them very rapid feedback on their patients and they are able to keep an eye on a number of people at a glance, which is working much better for them than the previous system which relied on phone calls.”
Health and social care secretary Matt Hancock recently said:
“Technology has been an incredibly powerful tool in our response to coronavirus. We have learned so much about what can be done online, and in some cases what is better done that way. Technology will play a growing and vital role in the future.
“While we restore face to face NHS services too, new innovations will ensure patients can benefit from the comfort of home, with the reassurance that they can be fast tracked to support from the NHS should they need. NHS at Home will help keep people safe and out of hospital while providing the best possible care.”
The digital revolution within the health service was underway long before COVID-19, with the NHS Long Term Plan setting out an ambition for greater use of connected home-based and wearable monitoring equipment, combined with apps, software and data.
Experts believe this kind of innovation has the potential to empower people to manage their conditions at home and help NHS clinicians to predict and prevent events that might otherwise lead to a spell in hospital.
Despite facing the greatest global health threat in its history, the NHS has accelerated plans to bring digital technology to patients’ homes, and leaders are keen to lock in the benefits of successful innovations for years to come.
Latest News from
NHS ahead of target in recovery of elective care, and mental health services back to pre-pandemic levels11/06/2021 09:15:00
Operations and other routine care are ahead of ambitions set out in April with mental health services back at pre-pandemic levels, NHS figures show.
Young people deliver record-breaking day for NHS COVID-19 jab bookings10/06/2021 10:25:00
There were more than one million bookings for a COVID-19 vaccine through the NHS website on Tuesday 8 June, a record high figure and the first time daily appointments booked through the national booking service have topped the million mark.
Anne Longfield appointed by NHS to help transform care of children and young people with a learning disability and autism09/06/2021 16:05:00
The NHS has appointed former Children’s Commissioner Anne Longfield OBE to help transform the care of children and young people with a learning disability and autism.
NHS COVID vaccine first dose drive enters ‘the home straight’ as final cohort called forward08/06/2021 14:15:00
The NHS COVID vaccination programme has started to invite the remaining adults for their COVID-19 jabs, on the six month anniversary of administering the world-first approved jab.
Sharp rise in people overcoming hesitancy and saying yes to the lifesaving COVID-19 jab08/06/2021 09:15:00
The NHS in England has seen a huge jump in the number of people coming forward for a COVID jab since launching its plan to tackle vaccine hesitancy.
NHS vaccine lead urges people not to delay second dose07/06/2021 14:15:00
The director of England’s NHS COVID vaccination programme, Dr Emily Lawson, is urging people that are contacted to bring forward their second jab, to rebook as soon as possible, after she received her follow-up jab this week.
NHS roll out of body cams in boost to ambulance crews safety02/06/2021 12:20:00
Thousands of ambulance crews across the country will be provided with body cameras as part of an NHS crackdown to reduce attacks on staff.
NHS treats first patient with the ‘world’s most expensive drug’02/06/2021 09:15:00
A five-month old baby has become the first patient to receive a potentially life-saving drug on the NHS that can prevent paralysis and prolong the lives of children with Spinal Muscular Atrophy (SMA).